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Here it is – my behind-the-scenes thoughts and the inside scoop on the latest episode of my TLC show, Dr. Pimple Popper! If you haven’t been able to watch the episode yet, you can watch it on the TLC website! And now, without further ado…

Patient 1: Belinda

What. A. Sweetheart. I cannot express to you guys what a giving person Belinda is, taking care of absolutely everyone around her and ignoring herself and her own pain. It truly broke my heart to see that she was so affected by her neck lipoma and the way it was pushing her neck forward.

It’s actually a pretty common area to have a lipoma, right on the back of the neck – I’ve seen lots of patients with lipomas right on that spot! It’s always a bit of a challenge because you never know how intensely a lipoma can get wrapped around the muscle and nerves in the body. But OMG did you guys SEE that beautiful pop?! Belinda’s baby twins came right out, it was so, unbelievably satisfying!

Also, it seriously touched me that she brought me that beautiful bracelet! I loved that loves to craft, and that she wanted to do something for me before I could even remove that lump! Love, love, love that she can drive and neck jive and not be so dependent on her son.

Here are some photos of Belinda’s healing process!

Patient 2: Nicole

Nicole is sassy just like me so we clicked pretty much instantly. I loved working with her! She had this third, little mini boob, which we officially diagnose as accessory gynecomastia. This actually isn’t breast milk, which is what she originally thought. Instead, this lump happened when a small amount of breast tissue traveled to her armpit at some point during her life, and then it expanded after she got pregnant.

The key for me was that I just needed to remove enough tissue to make sure that area was not so much of an obvious pooch. Enough so she would feel confident in a wedding dress! I was able to cauterize her fat tissue to make sure to shrink that puffy area, but I’m really proud of the stitches I put in, I think they’ll heal really nicely.

Nicole is such a great person, she really made me laugh, and I truly hope she is happier with her third boob gone! Seeing her post-surgery scenes just brought me so much joy… she has so much personality, she really deserves this!

Patient 3: Adela

These hundreds of “moles” that Adela has are diagnosed officially as seborrheic keratoses, but I love to call them wisdom spots! I’m telling you guys, Adela must be seriously wise, LOL! They’re called this because they’re usually associated with getting older, and even though they’re mistaken as moles or warts, they’re officially seborrheic keratosis or SKs. She’s also got some DPN, or dermatosis papulosa nigra, which is a condition in people with darker skin, and it’s characterized by small brown or black spots around the cheekbones and eyes.

There are lots of ways to remove seborrheic keratoses, and because Adela had so many of them, I decided to use multiple methods on the different areas and sizes. For some, we used liquid nitrogen, which literally freezes off the spots. For others, we used numbing and then just snipped them off! For a bunch of the ones on her neck, we used the KTP laser, which is a green light solid blasts the SKs with heat. Then, for others, we used Eskata — this is a topical concentration of Hydrogen Peroxide that does a really good job removing these stubborn spots.

The thing to know if you’re someone with seborrheic keratoses is that these spots can grow back, and Adela may get some new ones. Some of the ones that I treated may actually need another treatment or two, but after a few zaps, she should see a really significant improvement!

We used so many removal methods, and Adela was quite timid and sensitive, so it wasn’t always easy for me to remove her SKs, just because she was a bit scared of what I was doing. She was super brave though, and I’m glad we were able to attack so many of them for her – I could tell how happy she was after all those removals!!!

Patient 4: Nick

You guys. NEVER, EVER, EVER remove your own lipoma. It doesn’t matter how many of my lipoma videos you’ve watched or HOW big of a popaholic you are… it is just NOT a good idea!! This is a real, medical procedure and I went to school for many, many years to know how to do this. PLUS I’ve done this type of surgery hundreds of times. Trust me. Never a good idea to do surgery on yourself.

Nick got really lucky, using something like an Exacto knife and no numbing… Honestly, it’s probably a good thing the rest of his lipomas were on his back and out of reach!!

But, despite all that, I have to admit that Nick is a sweet, sweet guy. I really hope he just comes to me next time if he has another lipoma! And I hope that the process taught him that going to a doctor doesn’t have to be scary!

He really was a big popaholic, and that piece he 3D printed me was seriously so cool — I have to give him props for being such a do-it-yourself guy! And of course, that little baby chicken he named after me is too cute!!!